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A doctor injects sperm directly into the egg in a dish and then places it into your uterus. Your doctor will analyze your semen analysis carefully and help you decide if ICSI is an appropriate treatment for you.

Success rates for induction of ovulation vary considerably and depend on the age of the woman, the type of medication used, the presence of other infertility factors present in the couple and other reasons. That means they have abnormal or low sperm counts for no identifiable reason.

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Follicle-stimulating hormone (Gonal-F, Bravelle): This hormone is produced by the pituitary gland that controls estrogen production by the ovaries. A systematic review of tests predicting ovarian reserve and IVF outcome. Insulin-sensitising drugs (metformin, rosiglitazone, pioglitazone, D-chiro-inositol) for women with polycystic ovary syndrome, oligo amenorrhoea and subfertility. Additionally, surgery, radiation or chemotherapy to treat tumors can affect male fertility. Arcuate uterus In general, an arcuate uterus does not cause infertility. Also searched were the Cochrane database, the National Guideline Clearinghouse database, Dynamed, and Essential Evidence Plus.

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In addition, loss of peripheral visual fields bilaterally may be due to compression of the optic chiasm by the growing pituitary tumor. Premature Ejaculation: Is defined as an inability to control the ejaculatory response for at least thirty seconds following penetration.  Premature ejaculation becomes a fertility problem when ejaculation occurs before a man is able to fully insert his penis into his partner�s vagina.  Premature ejaculation can be overcome by artificial insemination or by using a behavioral modification technique called the �squeeze technique� which desensitizes the penis.

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As the rate of getting spontaneous pregnancy among infertile or subfertile couples is lower than that among normal fertile population, it is recommended to carry out the following diagnostic, evidence-based, work-up to detect any hidden treatable cause. IUI increases the number of the sperm in the fallopian tubes, where fertilization takes place. The idea is that for women beyond age 35, every month counts and if made to wait another six months to prove the necessity of medical intervention, the problem could become worse. It is increasingly recognized that egg quality is of critical importance and women of advanced maternal age have eggs of reduced capacity for normal and successful fertilization. History-taking Couples with infertility problem should be interviewed separately as well as together, to bring out important facts that one partner might not wish to disclose to the other. Environmental toxins, including pesticides and lead. 1 Among couples 15 to 44 years of age, nearly 7 million have used infertility services at some point. Sperm count often returns to normal after stopping the medication. Problems in the uterus or fallopian tubes can prevent the egg from traveling from the ovary to the uterus, or womb. View Media Gallery Seminiferous tubules are made up of Sertoli cells and germ cells and are surrounded by peritubular and myoid cells. Gerrits T, Shaw M (2010). "Biomedical infertility care in sub-Saharan Africa: a social science review of current practices, experiences and view points".